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Procedure price report

Inherited colon cancer genes, missing or extra DNA test

CPT 81436the billing code this page is about

A laboratory panel that checks genes linked to inherited colon cancer and polyp syndromes for deleted or duplicated sections of DNA; billed once for the whole panel.

Hospitals typically charge $940 cash for this outpatient procedure — the median across 128 hospitals that filed a usable cash price; the average of the middle 60% is $1,194. Most fall between $447 and $1,997 (20th–80th percentile).

Hospitals
128
States
30
Filings dated
Feb 2024 – Aug 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 128 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$364$585$940$1,997$2,059

The most expensive tenth of hospitals charges at least 5.7× what the cheapest tenth charges ($364 vs $2,059).

How the prices are spread

$268 – $329: 7 hospitals$268$329 – $404: 6 hospitals$404 – $496: 9 hospitals$404$496 – $608: 6 hospitals$608 – $747: 19 hospitals$608$747 – $917: 12 hospitals$917 – $1,126: 8 hospitals$917$1,126 – $1,382: 0 hospitals$1,382 – $1,697: 16 hospitals$1,382$1,697 – $2,084: 35 hospitals$1,697median $940price bands are equal on a log scale
Hospitals per price band (118 of 128 — the bands cover the 5th to 95th percentile)
FromToHospitals
$268$3297
$329$4046
$404$4969
$496$6086
$608$74719
$747$91712
$917$1,1268
$1,126$1,3820
$1,382$1,69716
$1,697$2,08435

By state

The median cash price in each state, against the national median of $940.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: 1 hospital filed a usable price — fewer than 10, so no figureILWisconsin: median $2,059 across 13 hospitalsWI$2,059Michigan: 3 hospitals filed a usable price — fewer than 10, so no figureMINew York: 1 hospital filed a usable price — fewer than 10, so no figureNYMassachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 3 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: no hospital in the corpus filed a usable priceIAIndiana: no hospital in the corpus filed a usable priceINOhio: 1 hospital filed a usable price — fewer than 10, so no figureOHPennsylvania: median $397 across 11 hospitalsPA$397New Jersey: median $643 across 15 hospitalsNJ$643Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 1 hospital filed a usable price — fewer than 10, so no figureCAUtah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: no hospital in the corpus filed a usable priceCONebraska: no hospital in the corpus filed a usable priceNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: no hospital in the corpus filed a usable priceTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: 4 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $1,665 across 31 hospitalsTX$1,665Florida: no hospital in the corpus filed a usable priceFL
Cash price by state, most expensive first. National median $940. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI13$2,059+119%$2,059 – $2,059
Texas TX31$1,665+77%$1,665 – $1,997
New Jersey NJ15$643−32%$643 – $643
Pennsylvania PA11$397−58%$364 – $447
Washington WA9not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Oklahoma OK4not enough hospitals filed a usable price
Michigan MI3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Oregon OR3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
California CA1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Illinois IL1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
New York NY1not enough hospitals filed a usable price
Ohio OH1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price
Wyoming WY1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $940.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care102$853$421 – $1,997
Children’s3fewer than 20 hospitals
Critical access23$2,059$761 – $2,059
Ownership
For-profit13fewer than 20 hospitals
Government14fewer than 20 hospitals
Non-profit101$899$446 – $1,997
System affiliation
Part of a system114$970$430 – $1,997
Independent14fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$2,094
Median cash price$940
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

How complete is this

128 of the 3,956 hospitals with a price file in our corpus (3%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 129 hospitals that filed this code at all gave us
Usable cash price — counted128
Cash price carrying a plausibility flag — shown on the compare tool, excluded here0
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded0
Hospitals that filed this code129

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 5, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as All Outpatient.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Inherited colon cancer genes, missing or extra DNA test (CPT 81436) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-81436-inherited-colon-cancer-genes-missing-or-extra-dna-test